Healthcare is a stressful place to work. It is normal to have an emotional response to what you experience here. Needing support is also normal. Thanks for being brave and taking this step to care for yourself. The form below asks you questions only for the purpose of figuring out how we can reach you to supply support. A rotating team of six Peer Support Team Leaders who are ICISF certified and handle your request confidentially, as we will be the only ones that see this submission.

If this is an Emergency and you need support right now, please call a 24 hr. resource. The following are all free to you:

  • Canopy is our Employee Assistance Program. They also have resources you can call 24 hours a day 7 days a week. Call 800-433-2320 or text 503-850-7721
  • The Coos Health & Wellness Crisis hotline is 888-543-5763 or you can text OREGON 741741
  • Suicide Risk Please dial 988 this is a 24 hr. Suicide Hotline
  • The Safe Project is a 24 hr. hotline for Domestic Violence and Sexual Assault 541-756-7000

If you are concerned about a co-worker then do your best to fill out all you can. You do not have to identify yourself in the submission.

Request Support

Name of Person Needing Support
Name of Person Needing Support



Is this request for yourself

Priority Level